KEITH E. EVANS (P.T., DPT) – Physical Therapist, NPI 1518080977

KEITH E. EVANS (P.T., DPT) is a healthcare provider. based in Mableton, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T., DPT. They hold a License No. 001628 (GA). The NPI Number for KEITH E. EVANS (P.T., DPT) is 1518080977

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
KEITH E. EVANS (P.T., DPT)
NPI
1518080977
Phone
(770) 948-8803
Address
156 NICKAJACK RD
Enumeration Date
9 April 2007
Last Update Date
21 May 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1981 (45 years ago)
PAC ID
6103817911
Professional Enrollment ID
I20040520000890
Address ID
GA303312830At3250XSWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for KEITH E. EVANS (P.T., DPT)

  • 156 NICKAJACK RD

    MABLETON, GA 301261707

    Phone: (770) 948-8803

    Type: Mailing

  • 3250 HOGAN RD, SW

    ATLANTA, GA 303312830

    Phone: (404) 346-1526

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-05-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040520000890IPhysical Therapist In Private PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes4,102103$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes4,053109$0
97530Therapy procedure using functional activities3,43497$0
97140Therapy procedure using manual technique, each 15 minutes1,43164$0
97035Application of ultrasound, each 15 minutes59362$0
View full utilization report →

Insurance plans in this area (ZIP 30126)

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Provider's Procedures

KEITH E. EVANS (P.T., DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYGA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes79866
PHYSICAL THERAPYGA97535Self-care or home management training, each 15 minutes7621

Reviews

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Frequently asked questions

Can I cross-check KEITH E. EVANS (P.T., DPT) using NPI 1518080977?
NPI 1518080977 belongs to KEITH E. EVANS (P.T., DPT); compare other details if you need extra assurance.
Is KEITH E. EVANS (P.T., DPT) still an active registrant?
KEITH E. EVANS (P.T., DPT) carries an active NPI according to the public dataset.
What kind of doctor is KEITH E. EVANS (P.T., DPT)?
KEITH E. EVANS (P.T., DPT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Where in Georgia is KEITH E. EVANS (P.T., DPT) registered?
Use Mableton, Georgia as the headline location for KEITH E. EVANS (P.T., DPT) here.
Can I trust this NPI listing for KEITH E. EVANS (P.T., DPT)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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